Samantha Elaine Golden, LMHC, NCC, CCTP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

009562-1 Issued in NY

Practice address

13 Water St Ste 3
Brockport, NY 14420-1964

Phone

(585) 590-4463

NPI assigned

Apr 30, 2019

Last updated

Jun 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psychological Healthcare, PLLC

  • Professional Counselor
  • Syracuse, NY
  • NPI 1922109578
  NPD
• Unified Mental Health Counseling Services PLLC

  • Mental Health Counselor
  • Spencerport, NY
  • NPI 1073133187
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1336703859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 WATER ST STE 3",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201964",
            "telephone_number": "585-590-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 WATER ST STE 3",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201964",
            "telephone_number": "585-590-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "SAMANTHA",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "LMHC, NCC, CCTP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-30",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009562-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346634151",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda L Gekoski, LPN
• Tonia Genrich, RN, BSN
• Kevin Scott Gibbs, RN
• Catherine Goetz, PA
• James Peter Goetz, M.D.
• Joel Gomez
• David A Good, RPH
• Erin Elisabeth Goodrich, RDN, CDE
• Shannon Grage, PT, DPT
• Cindy Lee Graham, RN

• Mental Health Counselor in Brockport, NY
• Providers in Brockport, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.